Cardiac Physical Examination

Question 1

Murmurs can be transmitted to? (4)

Answer 1

CABS!

Carotid Artery
Axilla
Back
Spine

Question 2

When should you use the bell of the stethoscope?

Answer 2

Better for low-pitched sounds of S3 and S4, also the murmur of mitral stenosis

Question 3

When is S2 splitting normal? When is it abnormal?

Answer 3

It’s normal during inspiration.

Abnormal during normal breathing.

Question 4

What are the two components of the S2 split? Which one is louder?

Answer 4

A2 and P2

A2 is louder

Question 5

When are Systolic Murmurs heard?

Answer 5

Between S1 and S2

Question 6

When are Diastolic Murmurs heard?

Answer 6

Between S2 and the next S1

Question 7

[Type of Murmur]

Mitral Valve Prolapse

Answer 7

Systolic

Question 8

[Type of Murmur]

Aortic Stenosis

Answer 8

Systolic

Question 9

[Type of Murmur]

Aortic Regurgitation

Answer 9

Diastolic Blowing Murmur

Question 10

[Type of Murmur]

Mitral Stenosis

Answer 10

Diastolic Rumble

Question 11

[Type of Murmur]

Patent Ductus Arteriosus

Answer 11

Continuous

Question 12

Where is a Pericardial Friction Rub best heard?

Answer 12

3rd ICS to the Left of Sternum